Based on public Medicaid payment data.
Trever Gray
Medicaid Provider in Nampa, ID
Type
Individual Provider
Address
11136 Moss Ln
Nampa, ID 836518015
Phone
2084660515
NPI
1205248556
Procedures
3
Total Claims
439
Patients Served
354
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $0.00 | 226 | 223 |
| Tooth Extraction | $40.24 | 118 | 59 |
| Dental Filling | $100.79 | 95 | 72 |
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